scholarly journals Common sleep disorders in women

2021 ◽  
pp. 24-30
Author(s):  
Elsa Mathew ◽  
◽  
Antony Fernandez ◽  
Leslee E Hudgins ◽  
Shekar Raman ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Disorders ◽  
Sleep Disturbances ◽  
Adult Life ◽  
Reproductive Hormones ◽  
Restless Leg Syndrome ◽  
Adult Life Span ◽  
Pressure Therapy ◽  
Obstructive Sleep

Sleep disturbances contribute to a high frequency of mental health and cardiovascular diseases with significant gender differences. Women have a higher incidence than men of insomnia and are more likely than men to complain of insomnia, headache, irritability, and fatigue than the ‘‘typical’’ symptoms of loud snoring and apneas during sleep. Reproductive hormones play an important role in sleep in women. In the premenopausal age these hormones have a protective effect on sleep apnea while on pregnancy there is a higher prevalence of sleep apnea and restless legs syndrome. Cardiovascular mortality is high in women with obstructive sleep apnea and continuous positive airway pressure therapy improves outcomes in most cases of obstructive sleep apnea. The epidemiology, risk factors, diagnostic criteria, and therapies for the three most common sleep disorders (insomnia, obstructive sleep apnea, and restless leg syndrome), along with effects of menopause, pregnancy, and social factors on sleep in women, are key considerations for clinicians caring for female patients across the adult life span.

616 Restless sleep and other comorbidities in children with attention deficit hyperactivity disorder

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A242-A242
Author(s):  
Vidhi Kapoor ◽  
Raffaele Ferri ◽  
Mark Stein ◽  
Chris Ruth ◽  
Jennifer Reed ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Disorders ◽  
Sleep Disorder ◽  
Sleep Disturbances ◽  
Psychiatric Comorbidities ◽  
Children With Adhd ◽  
Hyperactivity Disorder ◽  
Obstructive Sleep ◽  
Pediatric Sleep Medicine

Abstract Introduction The etiology of restless sleep has recently been identified as secondary to various medical and sleep conditions. Parents of children with ADHD complain of restless sleep and sleep disturbances in their children. We aimed to assess restless sleep causes in our patient population with ADHD and establish the prevalence of restless sleep disorder (RSD), as recently defined. Methods A retrospective study of children with ADHD who underwent polysomnography was carried out. Diagnostic and descriptive information collected for each patient included age, sex, polysomnographic parameters, sleep disorders, psychiatric comorbidities, and medications. Results Sixty-six PSGs were reviewed. The mean age of children was 11.6 (±3.6 SD) years; 17 were female and 49 were male. Parents of 54 (81.1%) children had concerns of restlessness during sleep; 47 (71.2%) children had obstructive sleep apnea, 17 (25.8%) had PLMS ≥5/hour, 13 (19.7%) had RLS, 6 (9.1%) had RSD, 27 (41%) had depression or anxiety, 5 (7.6%) had insomnia. Conclusion In a pediatric sleep medicine referred group of patients with ADHD, who are known to have significant sleep and psychiatric comorbidities, obstructive sleep apnea, RLS, and RSD were found to be the most prevalent sleep disorders, whereas depression and anxiety were the most common psychiatric disorders. Complaint of secondary restless sleep seems to be common, while primary restless sleep disorder was seen in approximately 9% of children. The results of this study aid pediatricians and child psychiatrists in screening children with ADHD for associated sleep disorders. Support (if any):

Contemporary Concepts in the Diagnosis and Management of Obstructive Sleep Apnea

2021 ◽  
pp. 1-17
Author(s):  
Rajasekar Arumugam
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Disorders ◽  
Sleep Disturbances ◽  
Wide Spectrum ◽  
Well Being ◽  
Comprehensive Overview ◽  
Sleep Related Breathing Disorders ◽  
Surgical Interventions ◽  
Obstructive Sleep

Optimal sleep is an inseparable component of both physical and psychological well-being. With the widespread increase in the prevalence of sleep disorders, there has been an immense interest among the global researchers in exploring the molecular biology of sleep and innovative modalities for diagnosing and treating sleep disorders. Notably, sleep disorders encompass a wide spectrum of sleep disturbances with potential multisystem complications. Polysomnography is an overnight sleep study that is widely considered as the gold standard objective diagnostic method for diagnosing obstructive sleep apnea (OSA) and provision of continuous positive airway pressure (CPAP), which maintains airway patency during sleep remains the cornerstone therapy for OSA. Although CPAP remains the mainstay of therapy for OSA, various oral appliances and surgical interventions have widely been considered for OSA. This chapter provides a comprehensive overview of contemporary diagnostic and therapeutic approaches available in clinical practice for sleep-related breathing disorders with particular emphasis on OSA.

scholarly journals Sleep Disturbances and Their Impact on Socio-Professional Capacities in Patients with Obstructive Sleep Apnea

2021 ◽  
Vol 72 ◽  
pp. 338-352
Author(s):  
Adriana NEAGOS ◽  
Adrian COSTACHE ◽  
Dan GHEORGHE ◽  
Madalina GEORGESCU ◽  
Violeta NECULA ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Disorders ◽  
Sleep Disturbances ◽  
Work Capacity ◽  
Professional Life ◽  
The Metabolic Syndrome ◽  
Obstructive Sleep ◽  
Falling Asleep

As a prominent problem in the modern society and showing an increasing prevalence, sleep disorders including frequently obstructive sleep apnea (OSA) raises the issue of the multiple health and socio-professional debilitating effect. This study aimed to assess by Pittsburgh Sleep Quality Index (PSQI) questionnaire the sleep disturbances and their impact on socio-professional capacities in patients with OSA. We evaluated through the PSQI a group of 144 patients with suspected sleep disorders, whom 22 were diagnosed with OSA by polysomnography. For OSA patients, we analyzed the associated comorbidities and the characteristics of sleep disturbances and their influence on quality of socio-professional life. The main associated comorbidities to our OSA patients were the hypertension (90.90%), the type II diabetes (40.91%) and the metabolic syndrome (31.83%). We found that the most important sleep disturbances that affected the quality of life are the sleep interruptions, the waking up too early, the late falling asleep and snoring. The most significant problems induced by sleep disorders were communication problems and concentration disorders, with more than three times a week for at least 36.36% of patients. The work capacity was affected at least once a month in 77.27% of OSA patients, 40.91% reported at least one episode per week. Based on the results of PSQI and the characteristics of clinical OSA assessment, we can conclude that the patients with OSA present an impaired quality of socio-professional life.

scholarly journals The State of Art on Co-Morbid Insomnia and Sleep Apnea (COMISA)

2021 ◽  
Vol 11 (8) ◽  
pp. 1079
Author(s):  
Luigi De Gennaro
Keyword(s):  
Quality Of Life ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Disorders ◽  
Sleep Disturbances ◽  
Nocturnal Sleep ◽  
Daytime Activity ◽  
Obstructive Sleep ◽  
State Of Art

Insomnia and obstructive sleep apnea (OSA) are two prevalent sleep disorders which share nocturnal sleep disturbances, impairments to daytime activity and quality of life, and high healthcare and social costs [...]

scholarly journals The Effect of Continuous Positive Airway Pressure Therapy on Obstructive Sleep Apnea-Related Hypertension

2021 ◽  
Vol 22 (5) ◽  
pp. 2300
Author(s):  
Ronni Baran ◽  
Daniela Grimm ◽  
Manfred Infanger ◽  
Markus Wehland
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Common Disease ◽  
Cpap Therapy ◽  
Pressure Therapy ◽  
Airway Patency ◽  
Obstructive Sleep

Obstructive sleep apnea (OSA) is a common disease, with approximately 3–7% of men and 2–5% of women worldwide suffering from symptomatic OSA. If OSA is left untreated, hypoxia, microarousals and increased chemoreceptor stimulation can lead to complications like hypertension (HT). Continuous positive airway pressure (CPAP) is the most common treatment for OSA, and it works by generating airway patency, which will counteract the apnea or hypopnea. More than one billion people in the world suffer from HT, and the usual treatment is pharmacological with antihypertensive medication (AHM). The focus of this review will be to investigate whether the CPAP therapy for OSA affects HT.

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